Could this be something that could be turned on or off at the discretion of the facility? In the scenario I propose, there would need to be two limits (a soft and a hard), not actually a threshold. 3000mg is the published max per the company, but the absolute max is 4000mg per established data. In that type of situation, overrides should be required past 3000mg.
If both alerts and overrides could pull to the Warnings and Override report that would definitely aid in monitoring the situation. Currently, the report is very difficult to read.
I agree that the safest option would be to prevent administration during bar code scanning; however, we cannot assume that the medication is being scanned and has not already been given.
If we were to not allow documentation of an event that occurred, the administered amount would not be included in the 24-hour count for future administrations of medications including acetaminophen. In that case, the potential safety consideration is higher to not allow the documentation.
Are you proposing a change in the wording of the current Exceeding Maximum Dosage Alert? Should overrides be required for the Threshold Alert Warning? Should both alerts and overrides pull to the Medication Warnings and Override report for monitoring?
Michelle, I want to be able to hard stop at 4000mg not override. Overriding a 4000mg limit is a safety risk. 3000mg has been the upper limit since 2011 and 4000mg is the absolute upper limit. I do not want our patients going over that.
With a max dose of 4000 mg and a warning at 75%, the nurse administering the medication containing Acetaminophen would receive a warning when the dose will exceed 3000 mg. Once the dose will exceed the max dose of 4000 mg, the user is required to enter an Override Reason before they can update the medication. They are warned with scanning/clicking but cannot update without a reason.
Per OP:
Could this be something that could be turned on or off at the discretion of the facility? In the scenario I propose, there would need to be two limits (a soft and a hard), not actually a threshold. 3000mg is the published max per the company, but the absolute max is 4000mg per established data. In that type of situation, overrides should be required past 3000mg.
If both alerts and overrides could pull to the Warnings and Override report that would definitely aid in monitoring the situation. Currently, the report is very difficult to read.
I agree that the safest option would be to prevent administration during bar code scanning; however, we cannot assume that the medication is being scanned and has not already been given.
If we were to not allow documentation of an event that occurred, the administered amount would not be included in the 24-hour count for future administrations of medications including acetaminophen. In that case, the potential safety consideration is higher to not allow the documentation.
Are you proposing a change in the wording of the current Exceeding Maximum Dosage Alert? Should overrides be required for the Threshold Alert Warning? Should both alerts and overrides pull to the Medication Warnings and Override report for monitoring?
Michelle, I want to be able to hard stop at 4000mg not override. Overriding a 4000mg limit is a safety risk. 3000mg has been the upper limit since 2011 and 4000mg is the absolute upper limit. I do not want our patients going over that.
With a max dose of 4000 mg and a warning at 75%, the nurse administering the medication containing Acetaminophen would receive a warning when the dose will exceed 3000 mg. Once the dose will exceed the max dose of 4000 mg, the user is required to enter an Override Reason before they can update the medication. They are warned with scanning/clicking but cannot update without a reason.